CAJ | 학술논문

目的：了解山区儿童青少年肥胖、代谢综合征（MS）的流行特点。方法根据浙江省龙泉市山区学生的年龄分布、性别构成，结合该地的经济情况，采用分层抽样的方法，抽取1所中学、2所小学、10～15岁儿童青少年共2135名，有效数据为2125份参与该项研究。测量体质量、身高、腰围、臀围、血压，检测空腹血糖（FPG）、高密度脂蛋白胆固醇（HDL-C）、甘油三酯（TG）、总胆固醇（TC），计算非高密度脂蛋白胆固醇（non-HDL）。与中国六城市（北京、天津、上海、杭州、重庆、南宁）10～15岁儿童青少年肥胖及MS患病率比较。结果调查人群中肥胖总体患病率4．7％，其中男性肥胖患病率6．3％（70／1109），女性肥胖患病率3.0％（30／1016）；调查人群中超重患病率9.4％，其中男性122名，占11．0％，女性77名，占7．6％；肥胖及超重合计共299名，占16．4％。调查人群中MS患病率2．0％（42名）；肥胖人群中MS检出率为42．0％。龙泉市山区10～15岁调查人群肥胖患病率（4．7％）显著低于中国六城市儿童青少年肥胖患病率（8．1％）（χ2＝31．09，P＝0．000）；肥胖人群中MS 患病率（42．0％）显著高于中国六城市肥胖人群中MS 患病率（28．8％）（χ2＝5．43，P＝0．02）。结论浙江省龙泉市山区10～15岁儿童青少年肥胖的患病率4．7％，低于全国六城市中小学生肥胖患病率；但肥胖人群中MS患病率显著高于全国六城市肥胖儿童青少年。
목적：료해산구인동청소년비반、대사종합정（MS）적류행특점。방법근거절강성룡천시산구학생적년령분포、성별구성，결합해지적경제정황，채용분층추양적방법，추취1소중학、2소소학、10～15세인동청소년공2135명，유효수거위2125빈삼여해항연구。측량체질량、신고、요위、둔위、혈압，검측공복혈당（FPG）、고밀도지단백담고순（HDL-C）、감유삼지（TG）、총담고순（TC），계산비고밀도지단백담고순（non-HDL）。여중국륙성시（북경、천진、상해、항주、중경、남저）10～15세인동청소년비반급MS환병솔비교。결과조사인군중비반총체환병솔4．7％，기중남성비반환병솔6．3％（70／1109），녀성비반환병솔3.0％（30／1016）；조사인군중초중환병솔9.4％，기중남성122명，점11．0％，녀성77명，점7．6％；비반급초중합계공299명，점16．4％。조사인군중MS환병솔2．0％（42명）；비반인군중MS검출솔위42．0％。룡천시산구10～15세조사인군비반환병솔（4．7％）현저저우중국륙성시인동청소년비반환병솔（8．1％）（χ2＝31．09，P＝0．000）；비반인군중MS 환병솔（42．0％）현저고우중국륙성시비반인군중MS 환병솔（28．8％）（χ2＝5．43，P＝0．02）。결론절강성룡천시산구10～15세인동청소년비반적환병솔4．7％，저우전국륙성시중소학생비반환병솔；단비반인군중MS환병솔현저고우전국륙성시비반인동청소년。
Objective To investigate the prevalence of obesity and metabolic syndrome(MS)of children and adolescents in Longquan mountainous area in Zhejiang province.Methods A representative sample involving 2 135 children and adolescence aged 10 to 15 years were randomly surveyed and a total of 2 125 had available data(male/female ratios as:1 109/1 016).Using the standard methods,we measured the weight,height,waist circumference,hip circumference,blood pressure,detected fasting plasma glucose (FPG),high density lipoprotein cholesterol (HDL -C),triglyceride(TG),total cholesterol(TC),and calculated non-high density lipoprotein cholesterol(non-HDL). The prevalence of obesity and MS among the 10 to 15 years old children and adolescence in Longquan was compared with that in six cities in China(Beijing,Tianjin,Shanghai,Zhejiang,Chongqing and Guangxi).Results The preva-lence of obesity was 4.7% in 10 -15 -year -old teenage,in which the male obesity prevalence was 6.3%(70/1 109),female obesity prevalence was 3.0%(30 /1 016).The prevalence of overweight was 9.4% and the prevalence of boys was 11.0%,while the girl was 7.6%.The prevalence of obesity and overweight was 16.4%(299/2 125).The prevalence of MS was 2%(42/2 125)in the survey,but 42.0%in the obesity.The prevalence of obesity in Longquan(4.7%)was lower than that in the national six cities(8.1%)among the children and adoles-cents from 10 to 15 years old(χ2 =31.09,P=0.000).But in the obesity students,the prevalence of MS(42.0%)in Longquan was higher than that in six cities(28.8%)(χ2 =5.43,P=0.02).Conclusion The prevalence of obesity in Longquan mountainous area was lower than that in the national six cities among the children and adolescents from 10 to 15 years old.However,the prevalence of MS among the obesity in Longquan was higher than that in six cities.